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HomeMy WebLinkAbout350667 FOLSOM GRAZING ASSOCIATION - INSURANCE CERTIFICATECERTIFICITE OF LIABILITY INSURANCE DATE4/09/2020 /) oa/os/zozo THIS CERTIFICATEAS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE.DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THECOVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE. CONTRACT BETWEEN THE ISSUING INSURER(S)i AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONALINSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the certificate holder in lieu of such endorsement(s). PRoouCER Crossroads Insurance Agency 213 1ST STREET- - EATON CO 80615 NAME: Curt Wiederspan aCNri Ext: (970) 454-0686 No): (970) 454-8774 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURERA: Colorado Casualty Insurance Co 41785 INSURED Folsom Grazing Association C/O William Altenburg 570 East County Road 64 Fort Collins CO 80524 -INSURER a : Plnnacol Assurance W 41190 INSURERC: _ INSURERD: INSURER E: INSURER F: rnvcoer_cc r`FRTipit _ATF MiiMRFR• CL2049D4331 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED -ABOVE -FOR THE -POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT; TERM ORCONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. - LS TYPE OF INSURANCE I SO POLICY NUMBER MWO MMO ureTs COMMERCIALGENERALUABILRY EACH OCCURRENCE .$ 1,000,000 CLAIMS -MADE ® OCCUR PREMISESMe occurrence ,$ 100,000 MED EXP (Any one person) ,$ 5,_000 A FGW60936654 05/24/2020 05/24/2021 PERSONAL BADV.INJURY ,$ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERALAGGREGATE _ $ 2,000,000' PRODUCTS - COMP/OP AGG E 210001000 PRO- X POLICY ❑ JECT LOC _ $ .- _ OTHER: _ _ - .. , AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acciderit $ - .BODILY INJURY (Per person) $ ANY AUTO .BODILY INJURY(Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE. Per acciden $ _ E UMBRELLA LIAB OCCUR '" "" - EACH. OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE j! DED RETENTION E $ _. B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED?- (MandatoryIn NH) N/A ,! 4095569 08/01/2019 08/01/2020 STA UTE ERH- E.L. EACHACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 It Yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OFOPERATIONS I LOCATIOI,W / VEHICLES (ACORD 107, AddRlonel Remerlu Schedule, may be attached If more apace M required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES .BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Street — Fort Collins CO 80524 ACORD 25 (2016/03) ©1 The ACORD name and logo are registered marks of ACORD All